呼吸康复护理在胸外科重症患者术后康复中的应用效果

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Abstract Objective To explore the application effect of respiratory rehabilitation nursing in postoperative rehabilitation of patients with severe thoracic surgery.Methods A total of 100 patients with severe thoracic surgery who underwent surgical treatment in our hospital from January to December 2018 were enrolled in the study.They were divided into control group and observation group according to the principle of randomized comparison,with 50 cases in each group.The patients in the control group received routine nursing,while those in the observation group received respiratory rehabilitation nursing on the basis of the control group.The incidence of surgery related complications,quality of life (physical health [PF],physical role function [RP],body pain [BP],psychological function [MH],emotional role function [RE],vitality [VT],social function [SF],general health [GH]) score before and after surgery (2 weeks after surgery),lung function indexes (pulmonary capacity [VC],tidal volume [TV],forced vital capacity in the first second [FEV1],forced vital capacity [FVC],FEV1/FVC) and blood gas analysis indicators (arterial blood oxygen partial pressure [PaO2],arterial carbon dioxide partial pressure [PaCO2]) 2 weeks after surgery were compared between the two groups.Results The TV,VC,FVC,FEV1,FEV1/FVC and PaO2in the observation group were higher than those in the control group at 2 weeks after surgery,and the differences were statistically significant (P<0.05).There was no significant difference in PaCO2 between the two groups (P>0.05).There was no significant difference in the quality of life score between the two groups before surgery (P>0.05).The quality of life scores of the two groups at 2 weeks after surgery were higher than those before surgery,and the differences were statistically significant (P<0.05).The quality of life scores in the observation group at 2 weeks after surgery were higher than those in the control group,and the differences were statistically significant (P<0.05).The total incidence rate of surgical related complications in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05).Conclusion Respiratory rehabilitation nursing can promote the recovery of postoperative pulmonary function in patients with severe thoracic surgery,improve the life quality and reduce the incidence rate of complications,which is worthy of clinical recommendation.

Key words： Severe thoracic surgery Respiratory rehabilitation nursing Lung function Quality of life Complications

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	CAO Yu-dan
	HUANG Li

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CAO Yu-dan,HUANG Li. Application effect of respiratory rehabilitation nursing in postoperative rehabilitation of patients with severe thoracic surgery[J]. 中国当代医药, 2019, 26(27): 206-209.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I27/206

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